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Advances in Polypectomy Training: A Northwestern Simulation Study Worth Noting
During Colon Cancer Awareness Month in March, Northwestern Simulation faculty published a major study led by Dr. Jeffrey Barsuk, Executive Medical Director at Northwestern Simulation, and Dr. Sri Komanduri, Associate Chief of the Division of Gastroenterology and Hepatology at Northwestern University. The work was part of an NIH-funded initiative focused on improving polypectomy skills among gastroenterologists.
Colonoscopy with polypectomy is central to colorectal cancer prevention, but a lack of standardized training has led to variable performance across practitioners. To address this gap, the team developed a simulation-based mastery learning curriculum using an ex-vivo simulator, requiring participants to meet a high performance standard before completing simulation training.
Nineteen practicing gastroenterologists were assessed on real patient polypectomy performance before and after completing the curriculum. Researchers reviewed polypectomy videos over a two-year period to evaluate skill changes in clinical practice.
Key findings:
--The percentage of physicians performing to the highest standard increased from 36.9% before training to 73.6% after training.
--Average checklist scores improved from 78.8% to 91.51%.
--Participants showed strong gains across key skill areas, including polyp evaluation and technical approach.
This study reinforces the value of ongoing procedural education and demonstrates how simulation-based mastery learning can translate into measurable real-world clinical improvement. As colorectal cancer awareness continues to grow, this work highlights a promising path to better physician performance and better patient outcomes.
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